Carlyn Rosenblum, MS, RD, CDN, CLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009478 Issued in NY

Practice address

7 W 21St St Apt 1903
New York, NY 10010-7008

Phone

(301) 775-0625

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC

  • Gynecology Physician
  • New York, NY
  • NPI 1710022140
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1205301314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 21ST ST APT 1903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107008",
            "telephone_number": "301-775-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 21ST ST APT 1903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107008",
            "telephone_number": "301-775-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "CARLYN",
        "credential": "MS, RD, CDN, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86059542",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Jill Rosenbloom, M.S. ED.
• Jacob A. Rosenbloom, MD
• Raymond Rosenbloom
• Allan Rosenblum, MA, MA ADVAN CERT
• Amy Taylor Rosenblum
• Emily Rosenblum, LMSW
• Hannah Rebecca Rosenblum, M.D.
• Harvey Rosenblum, MD
• Ira P Rosenblum
• Leonard J Rosenblum, DC

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.